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UPAYA PENCEGAHAN PENULARAN COVID-19 MELALUI EDUKASI & VAKSINASI DI SENTRA VAKSIN STIKES HORIZON KARAWANG Novianti, Rima; Nurjanah, Uun
Jurnal Pengabdian kepada Masyarakat (NADIMAS) Vol 2 No 2 (2023): Jurnal Pengabdian kepada Masyarakat (Nadimas)
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31884/nadimas.v2i2.47

The respiratory system is attacked by COVID-19, which might be fatal. COVID-19 was been categorized as a global pandemic by WHO on March 9, 2020. The government has established rules to restrict community activities, implement health standards, and provide vaccines since COVID-19 transmission is very simple, causing the increase in positive COVID-19 cases to skyrocket. According to the findings of in-depth interviews with community leaders in Karawang Regency, the majority of the population still lives a traditional lifestyle, and many people refuse to receive the COVID-19 vaccine because they lack information, making it difficult for them to distinguish between information based on true or false facts. As a result, the public perceives the programs offered to combat the pandemic as being less significant. Therefore, the goal of this effort is to reinforce knowledge of COVID-19 and transmission prevention through education and immunization. The activity's results demonstrated that, in line with the public's growing interest in immunization and adherence to health protocols as evidence of a growing general understanding of COVID-19 transmission and prevention, the implementation of education and vaccination to prevent COVID-19 transmission increased. In the Karawang Regency, this has a cascading effect on establishing COVID-19 herd immunity.

Prediktor kejadian penyakit jantung koroner di ruang poli jantung Priambodo, Anton; Nurjanah, Uun; Pramudita, Yogi; Suryana, Ilham
Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Vol. 15 No. 02 (2024): Jurnal Ilmu Kesehatan Bhakti Husada: Health Science Journal
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/jikbh.v15i02.1461

Latar Belakang: Penyakit jantung koroner merupakan penyakit tidak menular yang disebabkan oleh adanya sumbatan dibagian pembuluh koroner akibat dari proses asterosklerosi. Banyak faktor yang menyebabkan terjadinya penyakit ini, yaitu ada faktor yang dapat dimodifikasi dan tidak dapat dimodifikasi.Metode: Teknik pengambilan sampel pada penelitian ini menggunakan probability sampling dengan metode simpel random sampling. Jumlah responden pada penelitian ini yaitu sebanyak 100 responden. Untuk uji statistik penelitian ini menggunakan uji Chi – square dengan tingkat kemaknaan 5% (α = 0,05) Dan CI : 95%..Hasil: Hasil penelitian didapatkan bahwa terdapat hubungan antara usia dengan kejadian penyakit jantung koroner (p-value : 0,001, OR : 37,296, CI : 4,737 – 293,678), terdapat hubungan antara hipertensi dengan penyakit jantung koroner (p-value : 0,001, OR : 12,176, CI : 2,646 – 56,045), terdapat hubungan antara kadar trigliserida dengan kejadian penyakit jantung koroner (p-value : 0,002, OR : 4,816, CI : 1,175 – 13,519) dan terdapat hubungan antara riwayat merokok dengan kejadian penyakit jantung koroner (p-value : 0,001, OR : 11,238, CI : 3,373 – 37,444).Kesimpulan: Usia, hipertensi, kadar trigliserida dan riwayat merokok merupakan faktor yaang berhubungan dengan kejadian penyakit jantung koroner di Ruang Poli Jantung Rumah Sakit Dewi Sri Karawang tahun 2024

Determinant Factors of Multidrug Resistant (MDR) in Pulmonary Tuberculosis Patients at Jatisari Karawang Pulmonary Hospital; A Cross Sectional Study Syafila, Vita Afni; Syamsiah, Nita; Hodijah, Lilis Siti; Nurjanah, Uun
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i1.754

Aims : The aim of this study is to find out what factors contribute to the spread of Multidrug-Resistant Tuberculosis (MDR-TB) at Jatisari Karawang Hospital. It focuses on things like nutrition, patient adherence to treatment, motivation, family support, and how treatment is supervised. Methods : This study uses a quantitative method with a cross-sectional approach, which looks at the relationship between risk factors and their effects at one time. It involves 249 patients who visited the MDR-TB clinic at Jatisari Regional Hospital in January 2024, with a sample size of 106 patients. The goal is to identify the factors that are linked to MDR-TB at the hospital in 2024. Result : Most people in the study were under 60, and more males had MDR-TB. Many had poor nutrition (77.4%) and didn’t follow their medication (55.7%). Over half had low motivation (57.5%) and lacked family support (72.6%). About half had poor medication supervision (50.9%). These issues all played a role in the spread of MDR-TB. Conclusion : In conclusion, most people in the study were under 60, male, had a junior high school education, and were unemployed. The study also found that factors like nutrition, taking medication correctly, motivation, family support, and medication supervision are linked to the spread of MDR-TB.

Web-based mindfulness (interactive video) intervention design on depression and quality of life in haemodialysis patients: A randomised control trial Syamsiah, Nita; Nurjanah, Uun; Erlena, Erlena
Holistik Jurnal Kesehatan Vol. 18 No. 12 (2025): Volume 18 Nomor 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i12.691

Background: Patients undergoing hemodialysis (HD) tend to experience higher levels of depression and decreased quality of life (QoL) compared to the general population. Web-based mindfulness intervention using interactive video is an innovative approach that can help HD patients cope with stress and improve their quality of life. This technology allows patients to perform mindfulness exercises independently and in a directed manner. Purpose: To design a web-based mindfulness intervention (interactive video) on depression levels and quality of life in hemodialysis patients. Method: A randomized controlled trial (RCT) study to compare the effectiveness of a web-based mindfulness intervention by measuring depression levels and quality of life. The population in this study were patients undergoing hemodialysis therapy at Karawang Hospital with random sampling that would be divided into intervention and control groups, carried out for 8 weeks and evaluated three times. Results: There was a significant decrease in depression levels in the intervention group from 48.51 (SD = 15.22) in the pre-test to 40.78 (SD = 19.42) in the post-test with a t-value of 9.39 and a p-value of 0.001. While in the control group there was no significant decrease in the pre-test (50.32 ± 16.82) and post-test (49.20±17.66) with a value of 5 of 2.87 and a p-value of 0.435. Likewise in the intervention group there was a significant increase in quality of life from 70.20 (SD = 33.66) in the pre-test to 78.56 (SD = 39.87) in the post-test with a t-value of 10.04 and a p-value of 0.001. Meanwhile, in the control group, there was no significant increase between the pre-test (69.48 ± 22.60) and post-test (67.41 ± 21.83) with a t-value of -4.87 and a p-value of 0.063. Conclusion: There is no correlation between demographic characteristics with depression and quality of life in patients undergoing hemodialysis, except for the variables of duration of hemodialysis and number of comorbidities. In the intervention group, there was a decrease in depression levels and an increase in quality of life post-intervention. While in the control group, there was no significant decrease in depression levels and an increase in quality of life. Suggestion: Further research is needed to evaluate the effectiveness of web-based mindfulness interventions against existing interventions, such as cognitive behavioral therapy, meaning-centered group psychotherapy, acceptance therapy, and commitment in hemodialysis patients. Keywords: Depression; Hemodialysis; Interactive Video; Mindfulness; Quality of Life. Pendahuluan: Pasien yang menjalani hemodialisis (HD) cenderung mengalami tingkat depresi yang lebih tinggi dan penurunan kualitas hidup (Quality of Life/QoL) dibandingkan populasi umum. Intervensi mindfulness berbasis web menggunakan video interaktif menjadi pendekatan inovatif yang dapat membantu pasien HD mengatasi stres dan meningkatkan kualitas hidup. Teknologi ini memungkinkan pasien untuk melakukan latihan mindfulness secara mandiri dan terarah. Tujuan: Untuk merancang intervensi mindfulness berbasis web (video interaktif) terhadap tingkat depresi dan quality of life pada pasien hemodialisa. Metode: Penelitian randomized control trial (RCT) untuk membandingkan keefektifan intervensi mindfulness berbasis web dengan mengukur tingkat depresi dan kualitas hidup. Populasi pada penelitian ini adalah pasien yang menjalankan terapi hemodialisa di RSUD Karawang dengan pengambilan sampel secara acak yang akan dibagi menjadi kelompok intervensi dan kontrol, dilakukan selama 8 minggu dan dievaluasi sebanyak tiga kali. Hasil: Terjadi penurunan yang signifikan tingkat depresi pada kelompok intervensi dari 48.51 (SD=15.22) ketika pre-test menjadi 40.78 (SD=19.42) ketika post-test dengan t sebesar 9.39, dan p-value 0.001. Sementara pada kelompok kontrol, tidak ada penurunan yang signifikan ketika pre-test (50.32 ±16.82 dan ketika post-test (49.20 ± 17.66) dengan nilai 5 sebesar 2.87 dan p-value 0.435. Begitu pula terjadi peningkatan kualitas hidup secara signifikan dari 70.20 (SD=33.66) ketika pre-test menjadi 78.56 (SD=39.87) ketika post-test dengan nilai t sebesar 10.04 dan p-value 0.001 pada kelompok intervensi. Sementara pada kelompok kontrol tidak ada peningkatan yang signifikan antara pre-test (69.48±22.60) dan post-test (67.41±21.83) dengan nilai t sebesar -4.87 dan p-value 0.063. Simpulan: Tidak ditemukan korelasi antara karakteristik demografis dengan depresi dan kualitas hidup pada pasien yang mengalami hemodialisis, kecuali variabel lama menderita hemodialisis dan jumlah komorbiditas. Pada kelompok intervensi, terjadi penurunan tingkat depresi dan kualitas hidup meningkat setelah intervensi. Sementara pada kelompok kontrol, tidak ada penurunan tingkat depresi dan peningkatan kualitas hidup yang signifikan. Saran: Penelitian lebih lanjut harus dilakukan untuk mengevaluasi efektivitas intervensi mindfulness berbasis web terhadap intervensi yang sudah mapan, seperti terapi perilaku kognitif, psikoterapi kelompok yang berpusat pada makna, terapi penerimaan, dan komitmen pada pasien dengan hemodialisis. Kata Kunci: Depresi; Hemodialisa; Mindfulness; Quality of Life; Video Interaktif.

Exploring the Determinants of Multidrug-Resistant Tuberculosis in Pulmonary TB Patients at Jatisari Karawang: A Cross-Sectional Analysis Syafila, Vita Afni; Syamsiah, Nita; Hodijah, Lilis Siti; Nurjanah, Uun
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i1.754

Aims: The aim of this study is to find out what factors contribute to the spread of Multidrug-Resistant Tuberculosis (MDR-TB) at Jatisari Karawang Hospital. It focuses on things like nutrition, patient adherence to treatment, motivation, family support, and how treatment is supervised. Methods: This study uses a quantitative method with a cross-sectional approach, which looks at the relationship between risk factors and their effects at one time. It involves 249 patients who visited the MDR-TB clinic at Jatisari Regional Hospital in January 2024, with a sample size of 106 patients. The goal is to identify the factors that are linked to MDR-TB at the hospital in 2024. Result: Most people in the study were under 60, and more males had MDR-TB. Many had poor nutrition (77.4%) and didn’t follow their medication (55.7%). Over half had low motivation (57.5%) and lacked family support (72.6%). About half had poor medication supervision (50.9%). These issues all played a role in the spread of MDR-TB. Conclusion: In conclusion, most people in the study were under 60, male, had a junior high school education, and were unemployed. The study also found that factors like nutrition, taking medication correctly, motivation, family support, and medication supervision are linked to the spread of MDR-TB.

Cross-Cultural Adaptation, Validation, and Reliability of the Indonesian Version of Kidney Disease and Quality of Life (The KDQOL-SF™ v1.3) Instrument Syamsiah, Nita; Said, Faridah Binti Mohd; Hassan, Datin Hafizah Che; Nurjanah, Uun
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 2 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i2.849

Background: The Kidney Disease and Quality of Life Short Form (KDQOL-SF™ v1.3) was specifically developed to assess quality of life in individuals with kidney disease, including those not yet requiring dialysis. With the increasing burden of chronic kidney disease (CKD) in Indonesia, there is a need for culturally adapted and psychometrically sound instruments. Objective: This study aimed to adapt, validate, and evaluate the reliability of the Indonesian version of the KDQOL-SF™ v1.3 among hemodialysis patients. Methods: The KDQOL-SF™ v1.3 was adapted for cultural use by following international guidelines, including forward and backward translation, expert review, and interviews with patients. A total of 190 hemodialysis patients took part in the study. Construct validity was tested using factor analysis, and convergent validity was checked by comparing it with the EQ-5D-5L quality of life scale. Differences in scores between early-stage CKD patients and those on hemodialysis were used to test known-groups validity. Reliability was measured through internal consistency (Cronbach’s alpha) and a two-week test–retest method. Results: Of the 225 patients invited, 190 (84.4%) completed the survey. The content validity index (CVI) ranged from 0.73 to 1.00 across items. Exploratory factor analysis revealed factor loadings between 0.501 and 0.872, supporting construct validity. Significant correlations between the KDQOL-SF™ v1.3 domain scores and EQ-5D-5L measures confirmed convergent validity. Known-groups validity was demonstrated by significantly lower scores in physical function, role-physical, mental health, general health, pain, and fatigue domains among hemodialysis patients compared to those with earlier-stage CKD (p < 0.05). Cronbach’s alpha values ranged from 0.710 to 0.883 across domains, indicating good internal consistency, while test-retest reliability coefficients ranged from 0.702 to 0.852. Conclusion: The Indonesian version of the KDQOL-SF™ v1.3 is a valid and reliable tool to measure quality of life in hemodialysis patients. It can be used in both clinical practice and research to support patient-centered care and track outcomes. Future research should look at how well the tool detects changes in health and whether it works for patients with other stages of CKD

Edukasi Perilaku “CERDIK” Untuk Pencegahan Penyakit Tidak Menular Pada Remaja SMA/ SMK Sederajat Di Wilayah Kabupaten Karawang Nurjanah, Uun; Syamsiah, Nita
Jurnal Adiguna Pengabdian Masyarakat Vol 2 No 1 (2025): Jurnal Adiguna Pengabdian Masyarakat Juli 2025
Publisher : Universitas Bhakti Kencana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70410/japm.v2i1.48

Remaja merupakan kelompok usia yang rentan terhadap pengaruh gaya hidup tidak sehat, yang dapat menjadi faktor risiko munculnya penyakit tidak menular di masa dewasa. Di wilayah Kabupaten Karawang, masih rendahnya pengetahuan remaja mengenai perilaku hidup sehat menjadi salah satu tantangan dalam upaya pencegahan penyakit tidak menular. Untuk menjawab permasalahan tersebut, dilakukan kegiatan edukasi berbasis perilaku sehat kepada siswa SMA/SMK sederajat sebagai mitra kegiatan. Tujuan dari program ini adalah meningkatkan pemahaman dan kesadaran remaja terhadap pentingnya pencegahan penyakit tidak menular melalui penerapan perilaku hidup sehat sehari-hari. Kegiatan dilaksanakan di 20 sekolah dengan jumlah peserta sebanyak 704 siswa. Metode pelaksanaan meliputi penyuluhan interaktif, diskusi kelompok, serta penyebaran media edukatif dalam bentuk leaflet dan poster. Evaluasi dilakukan melalui pre-test dan post-test untuk menilai peningkatan pengetahuan siswa. Hasil kegiatan menunjukkan adanya peningkatan yang signifikan pada skor pengetahuan peserta setelah mengikuti edukasi. Diskusi kelompok juga menunjukkan antusiasme siswa dalam memahami dan mengaitkan materi dengan kehidupan sehari-hari mereka. Simpulan dari kegiatan ini adalah bahwa edukasi perilaku hidup sehat terbukti efektif dalam meningkatkan pemahaman remaja mengenai pencegahan penyakit tidak menular. Program ini direkomendasikan untuk dilaksanakan secara berkelanjutan sebagai bagian dari promosi kesehatan di lingkungan sekolah.

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